Physiotherapy for neuritis and neuralgia of peripheral nerves

Neuritis and neuralgia of peripheral nerves, excluding traumatic injuries of peripheral nerves and consequences of neuroinfection, in the vast majority of cases accompanies osteochondrosis of the spine. As with osteochondrosis of the spine, the main methods of physiotherapy in the arsenal of a general practitioner (family doctor) are short-pulse electroanalgesia, drug electrophoresis and laser (magnetolaser) therapy.

It is recommended that patients undergo short-pulse electroanalgesia for neuritis and neuralgia using the DiaDENS-T device.

First, the exposed skin surface is exposed to two fields (right and left) paravertebrally in the area of the corresponding segments of the spinal cord, from which the peripheral nerve is formed. The technique is contact, stable. The frequency of electrical impulses for neuralgia is 77 Hz, for neuritis - 10 Hz. The exposure time for one field is 5 minutes.

Then the impact is carried out on the skin using a contact, labile (scanning) method: the electrode is slowly moved along the projection of the corresponding nerve from the center to the periphery at a speed of 1 cm/s. The frequency of electrical impulses for neuralgia is 77 Hz, for neuritis - 10 Hz. The impact time is up to 10 min.

The voltage of the electric current is strictly individual (according to subjective sensations in the form of a slight “tingling” under the electrode).

The procedures are carried out once a day in the morning (before 12 noon), the course of treatment is 10-15 procedures daily.

It is recommended to perform medicinal electrophoresis of the corresponding drugs for neuritis and neuralgia using the Elfor-I (Elfor™) device using generally accepted methods of treatment for this pathology.

In laser (magnetolaser) therapy of neuritis and neuralgia of peripheral nerves, devices with infrared emitters (wavelength 0.8 - 0.9 µm) are used both in continuous radiation generation mode and in pulsed mode with the appropriate frequency.

First, the exposed skin surface is exposed using a contact, stable method (laser or magnetic-laser therapy) on the corresponding segments of the spinal cord with three fields (one between the spinous processes of the vertebrae, the other two paravertebrally on the left and right), from which the peripheral nerve is formed. PPM NLI 5 - 10 mW/cm2. Induction of the magnetic attachment 20 - 40 mT. The frequency of generation of pulsed laser radiation for neuralgia is 50 - 100 Hz, for neuritis - 5 - 10 Hz. The exposure time for one field is 2 minutes.

Then the irradiation is carried out on the skin using a contact, labile method (laser therapy only): slow, smooth movement of the emitter along the projection of the corresponding nerve from the center to the periphery at a speed of 1 cm/s. PPM NLI 5 - 10 mW/cm2. The frequency of generation of pulsed radiation for neuralgia is 50 - 100 Hz, for neuritis 5 - 10 Hz. Exposure time up to 10 min.

It is possible to carry out the procedures sequentially in one day at home for neuritis and neuralgia of the peripheral nerves (the interval between procedures is not less than 30 minutes):

• medicinal electrophoresis + laser (magnetic laser) therapy;
• medicinal electrophoresis + magnetic therapy;
• short-pulse electroanalgesia (in the morning hours + medicinal electrophoresis (in the evening hours).

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